Medical-surgical Nursing Demystified

CHAPTER 15 Pain Management^549

1. Have you ever felt you should Cut down on your drinking?


2. Have you ever felt Annoyed by others questioning your drinking?


3. Has your drinking ever made you feel Guilty?


4. Do you need a drink first thing in morning for an Eye-opener?

In addition, the following tests may be performed.

• Blood alcohol levels.


• Screening tests for drug use:
  
  
  • Blood work.
  
  
  • Urinalysis.
  
  
  
  

TREATMENTS

Those treatments for alcohol abuse that include behavior modification seem to be
the most effective. Often, a combination of behavior modification, support group,
and/or medication may be needed.

• ABCs of emergency support—airway, breathing, circulation.


• Inpatient facilities.


• Outpatient settings.


• Counseling.


• Support groups.


• Abstinence.


• Behavior modification.


• Activated charcoal.


• Toxicity medications:
  
  
  • For opiods:
    
    
    • naloxone
    
    
    • nalmefene
    
    
    
    
  
  
  • For benzodiazepines:
    
    
    • flumazenil
    
    
    
    
  
  
  • For alcohol:
    
    
    • acamprosate
    
    
    • disulfiram